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Please select the suppliers you wish to add to bill through your Red Tray account from the
list below. Upon your initial order, remember to identify yourself as a Red Tray member to
ensure your new accounts have been set up to bill through Red Tray. Please Note: Some
suppliers may request additional credit information and/or give you special instructions for
establishing a new account.

If you already have existing accounts with the suppliers you selected, please enter your
current account numbers in the corresponding Current Account Number field.

I, the undersigned, do hereby authorize Red Tray to set up/transfer my accounts for the
selected suppliers, effective immediately:

Signature of Personal Guarantor

  current account# supplier   current account# supplier   current account# supplier
A & A Optical
Carrollton, TX
Elite Optical - Sacramento
Sacramento, CA
Omega Dallas
Dallas, TX
Accessories by Ron's Opt
Livermore, CA
Elite Optical - Visalia
Visalia, CA
Omni Optical
Beaumont, TX
Accu RX, Inc
Johnston, RI
Essilor of America
Dallas, TX
Opsales Inc
Island Park, NY
Akorn Ophthalmics
Lake Forest, IL
Essilor GP Lenses
Dallas, TX
Portland, OR
Alray Optical
Rockland, MA
Essilor Labs of America (ELOA)
Dallas, TX
Optic Blue
Lubbock, TX
Altair Eyewear
Rancho Cordova, CA
Essilor New Jersey
Warren, NJ
Optical Suppliers Inc
Alea, HI
Alternative Eyewear
Buffalo, NY
Eyes of Faith Optical LP
Sharon, PA
Optical Supply Inc
Grand Rapids, MI
American Eyewear
Nashville, TN
Eyewear Designs Ltd
BethPage, NY
Franklin Park, IL
Arch Crown
Hillside, NJ
EyeKing LLC
Melville, NY
Optisource Int/Nu-Chem
Bellport, NY
Art Optical Contact Lens
Grand Rapids, MI
Fatheadz Inc
Indianapolis, IN
Minneapolis, MN
Aspex Eyewear
Pembroke Park, FL
Future Optics Inc - FL
Clearwater, FL
OOGP Contacts
Grants Pass, OR
Avalon Eyewear Inc
Northvale, NJ
Future Optics Inc - TN
Jackson, TN
OVVO Optics
Mahwah, NJ
ABB Optical Group
Coral Springs, FL
FGX International
Smithfield, RI
Olathe, KS
Fort Worth, TX
Hi-Tech Optics
Lincoln, NE
Pech Optical
Sioux City, IA
Bell Optical - Columbus
Columbus, OH
Hilco / Jonathan Paul Eyewear
Austin, TX
Pentax Vision/Seiko Lens
Mahwah, NJ
Bell Optical - Kenova
Kenova, WV
Homer Optical Company
Silver Spring, MD
Precision Optical Group
Creston, IA
Bell Optical - Twinsburg
Twinsburg, OH
I Optics Inc
Freeport, NY
Precision Optics - ST CLOUD
St Cloud, MN
Bell-Duffens Optical-Indianapl
Indianapolis, IN
I-Deal Optics
Troy, MI
Prestige Optics/Hilco
San Francisco, CA
Brillen Eyes
Lake Forest, CA
Interstate - Rege
Mansfield, OH
ProDesign Eyewear
San Francisco, CA
Bruder Healthcare Company LLC
Alpharetta, GA
Interstate Optical-Indianapols
Indianapolis, IN
Q-Vision Optics Inc
Arlington Heights, IL
Cal Optix
Hayward, CA
Interstate Optical-Mansfield
Mansfield, OH
Randolph Engineering Inc
Randolph, MA
Brooklyn, NY
Pembroke Park, FL
Revolution Eyewear
Simi Valley, CA
Carl Zeiss Vision - B&W
Baltimore, MD
Jungle Eyewear
Kenmore, NY
Robertson Optical - ColumbiaSC
Columbia, SC
Carl Zeiss Vision - California
Montclair, CA
Kenmark Group
Louisville, KY
Robertson Optical -Greenville
Greenville, SC
Carl Zeiss Vision - Cumberland
Nashville, TN
Kering Eyewear USA Inc
Bridgewater, NJ
Robertson Optical-LoganvilleGA
Loganville, GA
Carl Zeiss Vision - Iowa
Iowa City, IA
Kio Yamato Optics
Englewood, NJ
Safilo Group
Parsippany, NJ
Carl Zeiss Vision - KY
Hebron, KY
Kosh Ophthalmic
Pompano Beach, FL
Sight Systems of the Carolinas
Concord, NC
Carl Zeiss Vision - Siouxland
Sheldon, IA
L'Amy Group
Wilton, CT
Signature Eyewear
Inglewood, CA
Carl Zeiss Vision - Texas
Lewisville, TX
New York, NY
Green Island, NY
Carl Zeiss Vision - Virginia
Chester, VA
New York, NY
Smilen Eyewear
Cedarhurst, NY
Carl Zeiss Vision- Northeast
Newton Upper Falls, MA
Legre Eyewear
Edison, NJ
Southern Optical - AugustaGA
Augusta, GA
Carl Zeiss Vision- Northwest
Clackamas, OR
Lens Dynamics Inc
Kansas City, MO
Southern Optical - Bristol
Bristol, TN
Carl Zeiss Vision-All Loc-GA
Forest Park, GA
Liberty Sport/Switch Vision
Fairfield, NJ
Southern Optical - Richmond
Richmond, VA
Carl Zeiss Vision-Great Lakes
Troy, MI
Luxottica Group
Port Washington, NY
Southern Optical -Norcross ATL
Norcross, GA
Carl Zeiss Vision-Kansas City
Independence, MO
Luzerne Optical
Wilkes-Barre, PA
Southern Optical-Birmingham
Birmingham, AL
Carl Zeiss Vision-North Centrl
Saint Cloud, MN
Marchon Eyewear
Melville, NY
Southern Optical-Chattanooga
Chattanooga, TN
Carl Zeiss Vision-Southeastern
Roanoke, VA
Marcolin USA/Viva
Somerville, NJ
Southern Optical-GoldsboroNC
Goldsboro, NC
Carl Zeiss Vision-Southwest
Tempe, AZ
Match Eyewear
Westbury, NY
Southern Optical-GreensboroNC
Greensboro, NC
Central 1 Optical
Youngstown, OH
Match Eyewear-Canada
Westbury, NY
Southern Optical-GreenvilleSC
Greenville, SC
Charmant Group
Morris Plains, NJ
McGee Group
Marietta, GA
Southern Optical-NashvilleTN
Nashville, TN
Cherry Optical
Melvindale, MI
McLeod/Lenco Optical
Rutland, VT
Southern Optical-Wilmington
Wilmington, NC
Clariti Eyewear
City of Industry, CA
Menizzi Italy Eyewear
Brooklyn, NY
Superior Optical Labs
Ocean Springs, MS
Classique Eyewear
San Diego, CA
Meridian Optical- Phoenix
Phoenix, AZ
Sutherlin Optical
Kansas City, MO
ClearVision Optical
Hauppauge, NY
Meridian Optical- San Diego
San Diego, CA
Teka Eyewear
Lakewood, NJ
Continental Optical Imports
Chicago, IL
Midland Optical
St Louis, MO
The Lens Connection
Farmingdale, NY
Victor, NY
Milroy Optical
Tampa, FL
Top Network - Ohio
Columbus, OH
Costa Del Mar
Daytona Beach, FL
Modern Optical
Roselle, IL
Tri-Supreme Optical
Farmingdale, NY
Crown Optical
Greenville, RI
Modisch Eyewear
Rockland, MA
Tru-Form/Corneal Design
Gaithersburg, MD
Custom Eyes
Rock Island, IL
Modo Eyewear
New York, NY
Tura Eyewear
Great Neck, NY
CSC Labs
Watsonville, CA
Mondottica USA LLC
New Providence, NY
Twin City Optical - Staples
Staples, MN
Dash Lab - Lubbock
Lubbock, TX
Morel USA
Wyckoff, NJ
Twin City Optical-Casper WY
Casper, WY
Del Rey Optical
El Segundo, CA
MAD Vision LLC
Sunrise, FL
Twin City Optical-Cedar Rapids
Cedar Rapids, IA
Design Gallery
Westbury, NY
Nassau Lens Co.
Dallas, TX
Twin City Optical-LouisvilleKY
Louisville, KY
DeRigo USA
Sunrise, FL
Nassau Lens Florida
Miami, FL
Twin City Optical-Minneapolis
Minneapolis, MN
Dolabany Eyewear/Best Image
Miami, FL
Nassau Lens Mid-Atlantic
Greensboro, NC
Twin City Optical-Sioux Falls
Sioux Falls, SD
Duffens Optical
Houston, TX
Nassau Lens Mid-West
Streamwood, IL
Twin City Optical-Traverse Cty
Traverse City, MI
Duffens Optical - Denver
Denver, CO
Nassau Lens Southeast
Norcross, GA
US Ophthalmic
Miami, FL
Duffens Optical - Lenexa KS
Lenexa, KS
Nassau Lens Southwest
Garland, TX
Valley Contax
Springfield, OR
Duffens Optical - Topeka KS
Topeka, KS
Nassau Lens West
Van Nuys, CA
Villa Veneta Eyewear
Glen Cove, NY
Duffens Optical - Tulsa/closed
Tulsa, OK
New City Optical
Baltimore, MD
VSPONE-Tampa Bay
Clearwater, FL
Duffens Optical - Wichita
Wichita, KS
New Millennium Eyewear
Freeport, NY
WestGroupe USA
Plattsburgh, NY
Dynamic Laboratories
Ronkonkoma, NY
New York Eye/Hart Specialties
Amityville, NY
Wholesale Optical Supply
Robertsdale, AL
DBL Labs
St Cloud, MN
Nouveau Eyewear
Carrollton, TX
Wiley X Eyewear
Livermore, CA
Sun Valley, CA
Nova Optical (Nassau)
Orangeburg, NY
Pennsauken, NJ
East Coast Ophthalmic
Jacksonville, FL
Occhiali Eyewear Corp
Doral, FL
WOS Optical
Green Bay, WI
Eastern States Eyewear
Elmont, NY
Richmond, TX
Port Chester, NY
Edison Optics
Farmers Branch, TX